Hermaphrodites with Attitude was a newsletter edited by Cheryl Chase and published by the Intersex Society of North America (ISNA) between 1994 and 2005.
Koyama argues that the intersex movement could not succeed with that label in addressing peer support needs, while identity politics drew in a different set of goals and interests.
The suggested solution put forth by ISNA was to restructure the system of intersex taxonomy and nomenclature to not include the words 'hermaphrodite', 'hermaphroditism', 'sex reversal', or other similar terms.
ISNA gave a statement saying that "at present, the new standard of care exists as little more than ideals on paper, thus falling short of its aim[s]" to fulfill its goals.
[14] The ISNA decided its best course of action was to "support a new organization with a mission to promote integrated, comprehensive approaches to care that enhance the overall health and well-being of persons [who are intersex] and their families."